Michael Owen Williams, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

OR1980 Issued in MS

Practice address

424 Court House Road
Gulfport, MS 39507-1849

Phone

(228) 896-8333

Fax

(228) 896-8335

NPI assigned

Oct 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael O. Williams DDS.PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulfport, MS
  • NPI 1538328836
  NPD (past) Authorized official
• Michael O. Williams, D.D.S.,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulfport, MS
  • NPI 1710268669
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1013105451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8333",
            "address_2": "424 COURT HOUSE ROAD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071849",
            "telephone_number": "228-896-8333",
            "fax_number": "228-896-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 COURT HOUSE ROAD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071849",
            "telephone_number": "228-896-8333",
            "fax_number": "228-896-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHAEL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "OR1980",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "173876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Keel Williams
• Kari Williams, CRNP
• Kathleen M Williams, A.P.R.N., B.C.
• Kimberly M Williams, CNM
• Luella A Williams, CFNP
• Stacy Williams
• Tanika La-Sha Williams
• Wendy E Williams, MD
• Ethan Scott Williamson
• Victoria Williford, P-LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.